Close f/u: You need close follow-up. The natural history of chronic, severe AR does extend safely for decades but, of course, you don't know how long you've had it, and you're 38 now. The main criteria for aortic valve replacement are EF 55 mm, or any symptoms. If you wait too long, it's inoperable and results in death from heart failure, so stay in touch with your doctor!
Answered 7/14/2014
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